Organization
KINGDOM MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE JIN ZHAO (PRESIDENT & CEO)
(415) 751-0628
Entity
Organization
Contact information
Practice address
1812 IRVING ST, SAN FRANCISCO, CA 94122-1818
(415) 751-0628
(415) 751-0619
Mailing address
1812 IRVING ST, SAN FRANCISCO, CA 94122-1818
(415) 751-0628
(415) 751-0619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46267
CA
332BC3200X
Customized Equipment (DME)
46267
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
46267
CA
335E00000X
Prosthetic/Orthotic Supplier
46267
CA
Other
Enumeration date
01/21/2007
Last updated
10/29/2025
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